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DocuSign Envelope ID:88934228-5069-46A2-92EA-CDDDOOE53086 <br /> ORANGE COUNTY DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: the Q Garden Party/Vendor Contact Person: Lucia Apollo Shaw. Contact Phone: <br /> 919-593-1026 Party/Vendor Address: 112 S. Churton Street City Hillsborough State: NC Zip: <br /> 27278 Department: Economic Development Amount: $1,500.00 Purpose: Business Investment Grant <br /> Award Budget Code(s): 34600020-900051 Vendor #N/A (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective <br /> Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technic Y�Ild�Yontent <br /> S vc 94"44 10/28/2015 <br /> Department Director's Signature 3,BD4EFAC,BE41 Q_ Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services) This agreement has been reviewed <br /> and is approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency c7FDCF9176800498...Phslill� "" ''st1Landards, specifications, and requirements: <br /> usa 6vvte& 10/29/2015 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br /> Control Act: DOCUSigned by: <br /> 10/29/2015 <br /> Office of the Chief Financial Officer 7D4E5,81ACC1409_. Date: <br /> Legal Services <br /> This agreement is approved as to 11gat IR5fid:sufficiency: <br /> �MLS b y A& 10/29/2015 <br /> Office of the County Attorney 328DC480549A4F5... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ <br /> Dolloyd&orane ecountvnc.ov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> OCEDbiga July 2015 <br />